Single- and multiple-dose pharmacokinetics of tofacitinib in healthy Chinese volunteers

Clin Pharmacol Drug Dev. 2015 Sep;4(5):395-9. doi: 10.1002/cpdd.202. Epub 2015 Jul 16.

Abstract

Tofacitinib is an oral Janus kinase inhibitor. The objective of this phase 1, open-label study was to characterize the single- and multiple-dose pharmacokinetics (PK) of tofacitinib in 12 healthy, adult Chinese volunteers. Eligible subjects received oral tofacitinib 10 mg once daily on days 1 and 6 and twice daily on days 2-5. Blood samples were collected on day 1 predose and over 24 hours postdose (day 2 predose), predose on days 3-6, and over 12 hours postdose on day 6. PK parameters were calculated using noncompartmental analysis. Mean concentration-time profiles for days 1 and 6 were similar, with median time to peak concentration of 0.5 hours on both days. Plasma concentrations declined rapidly following attainment of peak concentrations, with a mean terminal half-life of 3.3 hours on day 1 (single dose) and 2.5 hours on day 6 (multiple dose). No accumulation in plasma occurred with twice-daily administration: accumulation ratio of 1.04. The rapid absorption, elimination, and systemic exposures (peak and area under the concentration-time curve) observed in healthy Chinese volunteers in this study are similar to those previously reported in white subjects.

Trial registration: ClinicalTrials.gov NCT01101919.

Keywords: China; Janus kinase inhibitors; healthy volunteers; pharmacokinetics; tofacitinib.

Publication types

  • Clinical Trial, Phase I

MeSH terms

  • Administration, Oral
  • Adult
  • Antineoplastic Agents / administration & dosage*
  • Antineoplastic Agents / adverse effects
  • Antineoplastic Agents / blood
  • Antineoplastic Agents / pharmacokinetics*
  • Area Under Curve
  • Asian People
  • China
  • Drug Administration Schedule
  • Female
  • Half-Life
  • Healthy Volunteers
  • Humans
  • Janus Kinase Inhibitors / administration & dosage*
  • Janus Kinase Inhibitors / adverse effects
  • Janus Kinase Inhibitors / blood
  • Janus Kinase Inhibitors / pharmacokinetics*
  • Male
  • Metabolic Clearance Rate
  • Models, Biological
  • Piperidines / administration & dosage*
  • Piperidines / adverse effects
  • Piperidines / blood
  • Piperidines / pharmacokinetics*
  • Pyrimidines / administration & dosage*
  • Pyrimidines / adverse effects
  • Pyrimidines / blood
  • Pyrimidines / pharmacokinetics*
  • Pyrroles / administration & dosage*
  • Pyrroles / adverse effects
  • Pyrroles / blood
  • Pyrroles / pharmacokinetics*
  • Young Adult

Substances

  • Antineoplastic Agents
  • Janus Kinase Inhibitors
  • Piperidines
  • Pyrimidines
  • Pyrroles
  • tofacitinib

Associated data

  • ClinicalTrials.gov/NCT01101919